JACK SURIANO PMHNP-BC
NPI 1275313165
Nurse Practitioner - Psychiatric/Mental Health in Stony Brook, NY
About Jack Suriano Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK SURIANO PMHNP-BC (NPI 1275313165) is an individual psychiatric/mental health provider in Stony Brook, New York, licensed in New York (405310-01) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Commack, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jack Suriano Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONY BROOK, NY 11794
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Suriano's NPI number?
The NPI number for Jack Suriano is 1275313165. It was assigned to this individual provider in the NPPES registry on September 29, 2023.
Where is Jack Suriano located?
Jack Suriano practices at Putnam Hall, Stony Brook, NY 11794. The listed phone number is (631) 632-2428.
What is Jack Suriano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jack Suriano enrolled in Medicare?
Yes. Jack Suriano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jack Suriano was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jack Suriano, PMHNP-BC · NPI 1275313165
Psychiatric/Mental Health physician in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since September 29, 2023.
## Identity
- **NPI:** 1275313165 (Entity type: Individual)
- **Enumerated:** September 29, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 405310-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** PUTNAM HALL, Stony Brook, NY 11794-0001
- **Phone:** (631) 632-2428
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 18, 2025
- **Other identifiers:** Medicaid 1447968417 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1275313165) · Data from the CMS NPPES public registry.